• 한국임상약학회지
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• 제15권2호
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• pp.89-93
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• 2005

This study was aimed to determine influenza vaccination coverage in 2004 in Koreans and investigate the factors associated with vaccination. Documentation of vaccination status and baseline data was conducted by a survey using questionnaire sheets. Baseline data and vaccination status were documented on 1465 people out of whom 60.1% received the influenza vaccine. Forty-seven percent of the responders were male; 4% were aged 1-12, 32% were aged 13-39, 32% were aged 40-64 and 32% were aged 65 or older. Twenty-three percent reported a chronic illness, increasing their risk for complications from influenza. Predictors of influenza vaccination were: older age (OR=11.7, 95% CI 5.1-26.8), the presence of chronic illness (OR=2.3, 95% CI 1.1-4.7), previous vaccination (OR=1.8, 95% CI 1.1-2.8), belief that influenza vaccine is effective in preventing influenza (OR=2.5, 95% CI 1.1-5.7) and education level (OR=1.7, 95% CI 1.0-2.7). Immunization rates were much higher in those who will take immunization again (OR=10.4, 95% CI 5.5-19.6). Factors affecting the decision on immunization were self-determination (43.6%), public relations (24.1%), recommendation from family members or friends (22.4%) and consulting with health professionals (5.8%). The main reason not to take influenza vaccine was the thought that they are healthy (50.1%). Overall, influenza vaccine coverage was high in those aged 65 or older. Immunization against influenza was influenced more by existing medical problem and belief about the vaccine's effectiveness, rather than sex or residence.

• 근관절건강학회지
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• 제29권3호
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• pp.218-227
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• 2022

Purpose: This study aimed to describe the current level of physical activity (PA) and to explore the relationships between self-efficacy for PA, perceived health status (PHS), attitudes toward aging, ego-integrity and PA in community-dwelling older Koreans. Methods: A total of 164 participants were recruited from community centers, churches, and senior welfare centers in Korea. With questionnaires, a survey was conducted from June 3rd to 22th, 2016. Data were analyzed with descriptive statistics, independent t-test, one-way ANOVA and Pearson's correlation coefficient using SPSS/WIN 22.0 program. Results: The mean amount of total PA was 5,295.33±6,272.38 MET/min/week. The number of subjects engaged in vigorous, moderate, and low-intensity activities were 87 (53.0%), 45 (27.4%), and 32 (19.5%), respectively. Overall, physical activities were different according to the presence of spouse (t=-2.79, p=.006) and the presence of housemate (t=2.03, p=.044). The mean scores of self-efficacy for PA, PHS, attitudes towards aging, and ego-integrity were 17.16±4.45, 9.00±2.41, 68.12±9.28 and 51.62±7.59, respectively. There were significant positive correlations between overall PA and self-efficacy for PA (r=.34, p<.001), PHS (r=.23, p=.003), attitudes towards aging (r=.26, p=.001). Conclusion: Specific programs to promote physical activities in addition to continuous education for improving self-efficacy for PA, PHS, and attitudes towards aging in community-dwelling older adults are needed.

• 대한간호학회지
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• 제53권2호
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• pp.167-176
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• 2023

Purpose: Despite the high prevalence of visual impairment caused by diabetic retinopathy and nutritional problems among older adults with diabetes, evidence regarding factors related to nutritional risk in this population is limited. Therefore, this study aimed to identify the correlates of nutritional risk among older adults with diabetes, focusing on visual impairment. Methods: This study was a secondary data analysis of the 2020 National Survey of Older Koreans aged 65 years and above. The sample comprised 2,376 older adults with diabetes, and complex sample ANOVA and Rao-Scott chi-square tests were used to compare the groups according to visual impairment. Complex-sample logistic regression analyses were conducted to verify the association between visual impairment and nutritional risk. Results: Older adults with diabetes, who also have severe visual impairment, are more likely to have nutritional risk status than those without impairment after controlling for covariates (odds ratio [OR] = 2.44, 95% confidence interval [CI] 1.16~5.13). Among the covariates, depression (OR = 3.58, 95% CI 2.60~4.94), dependent activities of daily living status (OR = 2.79, 95% CI 1.60~4.86), and experience of hospitalization during the past year (OR = 2.51, 95% CI 1.57~4.03) were strongly associated with nutritional risk. Conclusion: Severe visual impairment increases the nutritional risk among older adults with diabetes. Therefore, it is essential to prevent visual impairment due to exacerbation of diabetes through appropriate management. Additionally, tailored nutritional interventions for visually impaired older adults with diabetes that consider visual characteristics are required.

• 대한영양사협회학술지
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• 제3권2호
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• pp.182-196
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• 1997

Physiological changes that affect nutrient absorption and utilization occur in older adults, and the collection of nutritional information is an important part of examining the nutrition and health issue. A nutritional survey using the 24-hour recall method was performed to identify nutritional quality and leading patterns of food group intake for protein, vitamin C, P and Fe were over 1, whereas those for vitamin A, $B_1$, $B_2$, niacin and Ca were below 1. The MAR(Mean Adequacy Ratio) was relatively low(0.75). The percentage of energy from carbohydrate, protein, and fat was 65.1, 15.6, and 19.5, respectively, thus the quantities of energy source were ideal. The Older subjects revealed poorer nutrition quality than the younger subjects did. The food group intake pattern of the elderly was not diverse, only 9% of them consumed all food groups in a day. These results suggest that nutritional guidelines for older Koreans should focus on the maintenance of adequate energy intake. In addition, selection of foods with high protein and calcium, such as dairy food, should be emphasized, particularly in the older elderly. Nutrition programs should target individuals at risk of not receiving enough nutrients, like the oldest elderly, and persons with lower education.

• 대한지역사회영양학회지
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• 제21권6호
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• pp.558-573
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• 2016

Objectives: The purpose of this study was to evaluate the main sources of dietary sodium and potassium intake in Koreans by gender, age and regions. Methods: We used the data from 2010-2012 KNHANES. A total of 20,387 subjects aged 8 years and older were included. Intakes were compared by gender, age (8-18, 19-49 and >50 years) and geographical regions in Korea. Dishes were classified into 28 dish groups based on cooking methods. Statistical analysis was performed by using the SAS 9.3 and SUDAAN 11.0.1 software. Results: The mean sodium intake of Koreans was $4866.5{\pm}35.9mg/day$, which was 2.4 times higher than the adequate intake (AI) of sodium for Koreans. We found that daily sodium intakes were significantly different by age, gender and regions. Men and aged over 50 years had significantly higher sodium intake than women and other age groups. The mean potassium intake in Koreans was $3002.2{\pm}19.4mg/day$ and daily potassium intakes were significantly different by age, gender and regions. Women and age 50 years and over had significantly higher potassium intakes than men and other age groups. The average Na/K ratio was $2.89{\pm}0.01$ and was highest in men and in the age group of 19-49 years. The major sources of dietary sodium were soup and stew, followed by Kimchi, noodles and dumpling, pickled vegetables and seasonings, which represented 63.1 % of total sodium intakes. Soup and stew or Kimchi were the primary sources of dietary sodium intake. The major sources of dietary potassium were cooked rice, followed by soup and stew, Kimchi, fruits and beverages. Conclusions: Sodium and potassium intakes and the major sources of those were significantly different by gender, age groups and regions. Therefore, different approaches based on gender, age and regions are needed to decrease sodium intake and increase potassium intake.

• 한국콘텐츠학회논문지
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• 제20권12호
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• pp.593-610
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• 2020

이 연구의 목적은 한국인의 집단주의가 어떤 면에서 변화하였는지, 혹은 변화하지 않았는지에 대해 탐색적으로 살펴보는 것이다. 기성세대와 신세대들과의 심층인터뷰 및 FGI를 통하여 오늘날 한국인의 집단주의를 표현하는 키워드를 발견하였다. 첫째, 오늘날 한국인들의 집단주의는 '선택적 집단주의'로써, 이전처럼 주어진 집단이 아닌 스스로 선택한 구성원들로 이루어진 보다 축소된 형태의 집단을 기반으로 한다. 둘째, 기술의 발달과 함께 오프라인 집단주의와 대조되는 온라인 집단주의가 출현하였는데, 온라인 집단주의는 온라인 기술을 활용한 커뮤니케이션에 기초하며, 익명성을 통한 평등주의, 시간과 공간을 초월한 연결성 등을 중요한 특징으로 한다. 셋째, 한국인의 집단주의를 구성하는 가장 중요한 요인은 '정'인 것으로 나타났는데, 이는 집단주의의 변화하지 않은 측면으로 인식되었다. 마지막으로 한국인들에게 집단은 자아정체성과 밀접한 관련을 가지고 있으며, 이로 인해 한국인들은 예나 지금이나 집단에 대한 소속감 및 구성원들과의 관계에 집착하는 모습을 보인다. 연구의 의미와 한계에 대해 논의하였다.

• 기본간호학회지
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• 제17권2호
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• pp.231-239
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• 2010

Purpose: The purpose of this study was to explore the relationships between Yangsaeng and quality of life (WHOQOL-BREF) of Korean adults and older people practicing Dan Jeon Breathing. Methods: The participants were 133 adults and elderly people practicing Dan Jeon Breathing. Data were collected by self-reported questionnaires, which were constructed to include Yangsaeng and quality of life (WHOQOL-BREF). Frequency, percentage, mean standard deviation, t-test, ANOVA, Scheffe test, Pearson correlation coefficient, and Cronbach ${\alpha}$ value were used with the SPSS 14.0 win program to analyze the data using for finding. Results: Significant differences in Yangsaeng were evident on the basis of age, gender, duration of DJB, regular practice of DJB, and other exercises. There were significant differences in quality of life in terms of existence of spouse and duration of DJB. Also, all subcategories in Yangsaeng were positively related to all domain of quality of life. Conclusion: The results indicate that the quality of life of adult and elderly Koreans who practice DJB is more closely associated with Yangsaeng. Therefore, Dan Jeon Breathing can be utilized as a nursing intervention for Yangsaeng and quality of life of Koreans.

• 대한통합의학회지
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• 제7권1호
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• pp.57-64
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• 2019

Purpose : This study was implemented to identify the risk conditions influencing suicidal ideation in a nationally representative sample of elderly South Koreans. Methods : Data from 1,152 men and 1,581 women aged 65 years or older were gathered from the 2013 and 2014 Korea National Health and Nutrition Examination Survey VI. All analyses were performed using SPSS. To determine significant correlations between risk condition and suicidal ideation, a t-test was used. Results : There were differences in suicidal ideation according to the following individual factors: age, educational background, marital status, economic activity, recognition of stress, experience of depression, and economic status. There were differences in suicidal ideation according to the following health-related factors: subjective health status, EQ-5D (EuroQoL-5 Dimensions), hours of sleep, and BMI. There were also differences in suicidal ideation according to the following disease-related factors: HTN, COPD, asthma, stroke, depression and osteoarthritis. Conclusion : The findings indicate that broad intervention programs should be distributed to prevent suicidal ideation. It is also recommended that programs be developed in a way that can help manage the variables identified in this study. Furthermore, follow-up studies should be conducted to verify the program.

• Journal of Preventive Medicine and Public Health
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• 제48권1호
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• pp.38-47
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• 2015

Objectives: Controlling blood pressure is a key step in reducing cardiovascular mortality in older adults. Gender differences in patients' attitudes after disease diagnosis and their management of the disease have been identified. However, it is unclear whether gender differences exist in hypertension management among older adults. We hypothesized that gender differences would exist among factors associated with hypertension diagnosis and control among community-dwelling, older adults. Methods: This cross-sectional study analyzed data from 653 Koreans aged ${\geq}60years$ who participated in the Korean Social Life, Health, and Aging Project. Multiple logistic regression was used to compare several variables between undiagnosed and diagnosed hypertension, and between uncontrolled and controlled hypertension. Results: Diabetes was more prevalent in men and women who had uncontrolled hypertension than those with controlled hypertension or undiagnosed hypertension. High body mass index was significantly associated with uncontrolled hypertension only in men. Multiple logistic regression analysis indicated that in women, awareness of one's blood pressure level (odds ratio [OR], 2.86; p=0.003) and the number of blood pressure checkups over the previous year (OR, 1.06; p=0.011) might influence the likelihood of being diagnosed with hypertension. More highly educated women were more likely to have controlled hypertension than non-educated women (OR, 5.23; p=0.013). Conclusions: This study suggests that gender differences exist among factors associated with hypertension diagnosis and control in the study population of community-dwelling, older adults. Education-based health promotion strategies for hypertension control might be more effective in elderly women than in elderly men. Gender-specific approaches may be required to effectively control hypertension among older adults.

• 한국노년학
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• 제39권2호
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• pp.389-404
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• 2019

본 연구는 한국 노인이 주관적으로 인식하는 감각장애와 인지기능 간의 관계 조사이다. 연구방법은 2017년 노인실태조사 자료를 활용하여 65세 이상 10,082명에 대한 주관적 감각장애에 대한 평가 자료와 MMSE-DS를 통한 인지기능 간 관계를 위계적 다중회귀분석과 로지스틱 회귀분석을 실시하였다. 연구결과 시력, 청력, 구강 기능에 대해 주관적 불편감을 보고할수록 인지기능 감소의 위험이 높게 나타났다. 또한 청력, 구강에 대한 불편감은 치매로 이어질 가능성이 높음을 발견하였다. 특히 다른 감각기능에 비해 청력 불편감이 치매의심 집단의 인지기능과 상관관계가 가장 높은 것으로 나타났다. 본 연구의 결과는 노인의 감각기능을 정부 차원에서 관리할 필요성이 있으며, 노인 스스로 감각기능의 신체적 변화를 지각하고 평가하기 위한 도구를 개발할 필요가 있음을 제안한다. 아울러 노인의 건강 증진을 위한 구체적인 방안을 위한 연구가 필요하다.